Is Your PBM Really a Fiduciary?
- Ken Kemker
- 4 days ago
- 1 min read
Every pharmacy benefits manager claims they work for you. But when prescription drug costs keep climbing, those promises deserve closer examination.
What makes a PBM truly fiduciary?
A Fiduciary PBM is contractually and ethically bound to act in the best interests of its clients. This contractual obligation creates accountability that traditional PBMs actively avoid.
Is it in your contract?
Pull out your current PBM contract and look for these specifics:
100% pass-through of all rebates. Every dollar.
100% pass-through of drug pricing. No spread pricing. No markups.
Single source of revenue. One administrative fee. Nothing else.
If these commitments aren't explicitly written into your contract, you don't have a fiduciary PBM. You have a vendor making promises they can break.
Real results matter.
While the national average for specialty drug spending hovers around 51% of total pharmacy spend, our in-house savings programs have reduced it to 32% for our clients. That gap represents real money staying in your organization.
DisclosedRx operates as The Fiduciary and Fully Disclosed PBM®. We have two revenue streams: an administrative fee and a share of the savings we create. We retain 25% of the savings while clients benefit from 75%, delivering a 200% ROI.
When you're ready to work with a PBM that's contractually bound to put your interests first, let's talk.
